ECW does not answer their phone during company/working/patient care hours. They do not respond to the company's they claim to serve IT department. In 3 days, ECW's lack of response has prevented me from being able to complete more than 20 important medical record requests to and from patients and various other medical facilities. They purposely call you back after hours when you're not there. They don't fix the problem. There is a 10-14 business day mandate in New York for all medical record requests. ECW's multiple issues preventing downloading, uploading and trying to print these records is out of compliance with the professional medical conduct board and a barrier to effective patient care. Nobody should use ECW. If I could give negative stars I would. ECW is the worst EMR I have ever dealt with in 17 years. It is shameful how they handle their support line.